National Provider Identifier Database

MARK GOODRICH, PAC – NPI #1356447882
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

MARK GOODRICH, PAC
1477 NORTH 2000 WEST
WESTSIDE MEDICAL
CLINTON, UT84015
Phone: 801-774-8888
Fax: 801-825-8519
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for MARK GOODRICH

NPI Number 1356447882
Credentials PAC
Entity Individual
Enumeration date 09/15/2006
Last updated 10/13/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 2729721206
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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